| NPI | 1366640419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 6747-C) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW 24891) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW 59605) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2018-12-21 |